Traumatic Macular Hole: Diagnosis, Natural History, and Management

Figure 1

An 18-year-old male, punched in the face, presented with visual acuity of 20/60 with Berlin’s edema and a full-thickness macular hole. He underwent surgical repair of the hole with pars plana vitrectomy, induction of a posterior vitreous detachment, and internal membrane peel, two months later. (a) OCT, two months after presentation, shows a full-thickness macular hole with intraretinal fluid. (b) OCT, two months after surgical repair, shows a closed macular hole and parafoveal disruption of the ellipsoid zone. Visual acuity was 20/40.

(a)

(b)